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Psychiatric Residential Treatment Facility
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NPI 1346319142
● Active Type 2 · Organization
Devereux Foundation
Psychiatric Residential Treatment Facility · Kennesaw, GA · NPI 1346319142
·
Enumerated 2006 · 19 years on NPI
Devereux Foundation is 1 of 30 psychiatric residential treatment facility organizations in Georgia.
NPI age
19 years
Enumerated 2006-11-07
Primary specialty
Psychiatric Residential Treatment Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bolivar
Executive Director
Last NPPES update
2009-01-16
Source: monthly bulk 2026-05
How this organization compares
Across 30 active psychiatric residential treatment facility providers in Georgia.
NPI age
19 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
NPI lifetime · 2006 → 2026
2006-11 Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1291 Stanley Rd Nw
Kennesaw, GA 301524359
📞 7704270147
Mailing address
1283 Kennestone Cir, Suite 100
Marietta, GA 300666029
📞 7704270147 fax 7704231502
Authorized official
Mario Bolivar
Executive Director
📞 6873032669
Individual providers at this organization
20 individual providers on file at this primary practice address.
Elena Arnold , RN
Registered Nurse
NPI 1588184535
Paul Bahati , RN
Registered Nurse
NPI 1104346154
Sarah Bigelow , LAPC
Counselor
NPI 1306229745
Rubynell Brown
Licensed Practical Nurse
NPI 1801374665
Kathryn Bryant , L.M.S.W.
Social Worker
NPI 1942635123
Rita Calhoun
Registered Nurse
NPI 1487132148
Deana Cilento
Licensed Practical Nurse
NPI 1265910020
Dianne Davis , LPN
Licensed Practical Nurse
NPI 1598285546
Khoa Doan
Registered Nurse
NPI 1619490687
Donna Edwards
Registered Nurse
NPI 1760965354
Ebony Elbert , CTRS
Recreation Therapist
NPI 1528588571
Mary Esposito , LCSW
Social Worker
NPI 1104346147
Cassandra Gaines
Registered Nurse
NPI 1871083352
Marie Gaspard , RN
Registered Nurse
NPI 1649790692
Yolanda Graham , M.D.
Psychiatry & Neurology
NPI 1962537159
Edwina Guanue , RN
Registered Nurse
NPI 1376063388
Cathy Huff , LCSW
Social Worker
NPI 1508249616
Helania Hunt
Counselor
NPI 1932742756
Tony Jenkins
Counselor
NPI 1316420441
Liza Jimenez
Registered Nurse
NPI 1205326782
Specialties
Psychiatric Residential Treatment Facility
Primary
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and...
GA license #5910 taxonomy 323P00000X
Identifiers
Type Value Notes
05 (GA)
087592297A
05 (NC)
3404521
05 (MD)
700401000
05 (WV)
0002464004
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.